2V9-37752-95511
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 894 / NV
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Self-medication — Feeling: GoodFree text: About seven days after receiving the vaccination a large rash (5x8) developed rapidly about six inches below the injection site, eventually it migrated to the site. Some itching was noted (Benadryl cream helped). It is hardly noticeable today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: Headaches very early AM becoming less noticeable as the day progresses. I first detected these headaches about a week ago (2 weeks after vaccination).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
-
2021-08-17
Dose 3 — Moderna
- 2021-09-23
- 2021-11-16
-
2022-02-15
Survey response — 6 months, dose 3MedDRA: Abdominal pain, Gastrointestinal sounds abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Abdominal pains and "gurgling" below rib cage on left.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-17
- 2022-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-08-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: About seven days after receiving the vaccination a large rash (5x8) developed rapidly about six inches below the injection site, eventually it migrated to the site. Some itching was noted (Benadryl cream helped). It is hardly noticeable today.
Release 5 — day 21, dose 1
Symptoms: Headaches very early AM becoming less noticeable as the day progresses. I first detected these headaches about a week ago (2 weeks after vaccination).
Release 11 — 6 months, dose 3
Symptoms: Abdominal pains and "gurgling" below rib cage on left.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | · | · | ✓ |
| SD | Gastrointestinal sounds abnormal | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release